Both Chen Qi and Qi Damin thought that this patient should have upper gastrointestinal bleeding, and the most likely site was gastric bleeding, which is also common in clinical practice.

Especially this kind of middle-aged women, who have been hungry for the past few decades and rarely have a full meal, so the proportion of stomach problems is quite high.

Wang Fang shook her head gently at this time:

"The strangest thing is here. We have already done a gastroscopy and no bleeding point was found in the stomach or esophagus, so now we can't determine where the bleeding point is."

"Hey, this is strange. Vomiting blood and melena is a very obvious symptom of upper gastrointestinal bleeding. It shouldn't be vomiting blood in the lower gastrointestinal tract. At least it must be vomiting feces or intestinal contents."

At this time, a staff member from the medical department raised questions.

Wang Fang gritted her teeth and blushed a little:

"We, we believe that the possibility of lower gastrointestinal bleeding also exists, so we also did a colonoscopy yesterday, but no problem was found."

The patient’s family members became dissatisfied after hearing this:

"Doctor, this is not upper gastrointestinal bleeding or lower gastrointestinal bleeding. So where is the bleeding? Can't you check it out? I came here from Yongbo City. I heard that you have gastrointestinal bleeding at Yuezhong People's Hospital.

The level of internal medicine is so good that I went out of my way to seek medical treatment, but the result was that I couldn’t even determine the location of the bleeding. This, this is too bad, isn’t it?”

The family members' words were equivalent to a slap in the doctor's face.

It was Lan Lijuan, the new department director, who was hit in the face. If word got out that even a stomach bleed could not be cured, her colleagues would really laugh out loud.

Qi Damin stood behind and watched coldly, wanting to see how the parents-in-law dealt with this difficult problem.

Lan Lijuan glanced at Chen Qi, who also looked over at this time, and they both said in unison:

"Do another gastroscopy."

Who knew that the patient was dissatisfied:

"Doctor, please don't do a gastroscopy. It's too uncomfortable. I kept vomiting after the gastroscopy. It's okay to be stabbed and bleed. Besides, a gastroscopy costs 20 yuan, which is less than half a month's salary for me.

, I won’t do it if I don’t do it.”

Don’t do gastroscopy? Then the treatment is like a blind man trying to figure out the elephant, and it will really overturn.

Chen Qi had to step forward:

"Sister, let me tell you, our stomach is just like a cloth bag. When filled with things, it becomes a bulging balloon. However, you need to fast during a gastroscopy. If there is nothing in the stomach, then the stomach will shrink.

It's so small that the stomach wall is folded up.

The gastroscope relies on a camera at the top to poke into your stomach. If the bleeding point happens to be in the corner or the folded part, it is normal that it cannot be detected. If you have black stools, it means that the bleeding has not stopped.

Live.

If the bleeding in the stomach cannot be controlled, do you know what the consequences will be? That is gastric perforation, which is serious. At that time, surgery will be required to open the abdominal cavity and cut off part of your stomach. Think about it, what will this do to you?

How much physical damage will be done, right?"

Patients and family members are easy to fool. There are no mobile phones or Baidu these days, so doctors usually just take whatever they say.

Being frightened by Chen Qi, the patient nodded repeatedly:

"Hey, the doctor is right, let's continue the examination, but if it can't be found out this time, it won't make sense."

Just as Lan Lijuan was about to speak, Chen Qi spoke first:

"Okay, I will perform the gastroscopy myself this time to ensure that the bleeding point is found."

Nonsense, of course he has to stand up for his wife at the critical moment. Chen Qi feels that it is his duty to do so, and it is also related to his sexual life after returning home.

Lan Lijuan was obviously very satisfied with her husband's performance and said with a smile:

"Then please leave it to Dean Chen to teach our gastroenterology doctors a good lesson today."

The middle-aged woman and her husband looked at Chen Qi but hesitated: "This doctor looks very young. Is he an intern or a junior doctor?"

Only then did Liu Huichun speak:

"Hey, you are mistaken. This person in front of you is a true Buddha, a director of two international medical associations, and the president of our People's Hospital."

"Ah, you have become the dean at such a young age? He is not much older than my son."

"Okay, you must be good enough to be a dean, so let's do this gastroscopy."

Wang Fang was smarter. As soon as she heard that the patient was willing to review the gastroscopy, she quickly pushed the gastroscopy instrument into the ward.

The head nurse also quickly fetched isolation gowns, masks and hats, and put them on for Dean Chen herself. Look, this is the treatment of the dean.

Qi Damin looked sour from behind.

All preparations were in place, and Chen Qi also stood on the right side of the patient, ready to start the gastroscopy.

When I heard that the dean was going to do a gastroscopy in person during the ward rounds, no matter whether he was curious or flattering, all the doctors in the Department of Gastroenterology rushed over anyway, so they didn't care about the ward rounds in the morning.

Chen Qi will insert the tube from the patient's mouth, all the way through the throat, esophagus, stomach, and duodenum.

So everyone is staring at the TV screen. This gastroscope was sponsored by the Swedish Aslila Pharmaceutical Company for the Helicobacter pylori treatment research team. It is the most advanced gastroscope of this era and there are few in the country.

From now on, when doctors perform gastroscopy, they no longer have to squint and look at the tube like a SLR camera. Not only does the field of view become clearer, but also they avoid being vomited all over by patients.

Chen Qi plays the pipe very slowly, carefully examining every inch.

The esophageal mucosa is still very clean, and there are no esophageal varices. It is definitely not a problem with the esophageal veins, and this part is excluded.

Then there was the inside of the stomach. There was still some blood in the stomach. It looked like old bleeding because the color was wrong, dark red.

Chen Qi held the endoscope tube in his hand and turned it left and right, watching and rinsing repeatedly. As a result, he checked everything up and down, inside and out, but no obvious bleeding focus was found.

At this time, a young doctor couldn't help but exclaimed: "It's really not stomach bleeding."

Now Chen Qi was scratching his head. In fact, he was confident at first and thought that the bleeding point must be in the stomach. Now it was better. The new dean and the new official overturned on the first day they took office.

Isn’t this a big joke?

Chen Qi still refused to give up and said to Lan Lijuan next to him:

"Don't worry, let me look at the duodenum again?

A gastroscopy is a gastroscope in name. In fact, in addition to seeing the esophagus and stomach, you can also extend a little deeper to see the duodenum below. No matter how far it is, it won't work.

The name of the duodenum is very strange. In fact, the origin of the name is also very simple. It is a section of intestine that is connected under the stomach. Because this section of intestine is as long as a surgeon's twelve fingers juxtaposed, it is named the duodenum.

This is also the most common site for ulcers and bleeding.

If the patient does not have a gastric ulcer, she is likely to have a duodenal ulcer, otherwise there is no way to explain her bleeding.

However, Chen Qi looked carefully and repeatedly, and found that the endoscope tube was almost broken, and there was no obvious bleeding lesion in the duodenum.

Throughout this journey, we found that the patient had mild gastritis, far from ulcers, and there was no way to explain the bleeding.

What's going on?

Could it be bleeding from the small intestine deeper below the duodenum? Chen Qi was confused.

It was quiet in the ward, and many junior doctors had quietly hid behind, fearing that the dean would get angry later and they would become cannon fodder.

Liu Huichun seemed more anxious. Although she was not a doctor, she still had basic common sense after working in the hospital for so many years.

If Dean Chen fails in the ward round today, although it will not affect his position as dean, it will still have a huge impact on Chen Qi's personal prestige. After all, so many people watch his good show as Dean Chen.
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Qi Damin looks calm on the surface, but in fact he is already happy in his heart.

This overturn not only damaged the reputation of Lan Lijuan, the new director of the department, but also damaged the reputation of the new dean Chen Qi as a "miracle doctor".

When Chen Qi came on stage, the main highlight was that he could see a doctor, he could see a doctor, and he could see diseases that others couldn't.

Now I'm fine, I can't even diagnose a gastrointestinal bleed. In the future, I'll have the nerve to say that I'm the best in medical skills, and I'll have the nerve to say that I'm a double international board member?

Chen Qi didn't think that much, or he didn't think about the consequences of this overturn.

Seeing a doctor is just seeing a doctor. It should be kept pure and should not be mixed with too much fame and wealth, and it should not be done just because you cherish the feathers. This is what old experts and professors will do.

He is still young, 26 years old. If he makes a mistake, he will make a mistake. There is always a chance to start over.

Lan Lijuan reminded at this time: "Dean Chen, are you considering another colonoscopy?"

Who knew that as soon as these words came out, the patient’s family members would become irritable:

"If you don't do it, colonoscopy will be more painful. Do you know how to see a doctor? It seems that the dean is just like that. You Yuezhong don't know how you did it. Let such a young man become the dean, it must be...

Backdoor goods, the quality is too bad."

At this time, the patient had a gastric tube inserted in his mouth and could not speak, but his eyes were full of doubts, indicating that the gastroscope should be pulled out quickly.

As soon as these words came out, Qi Damin couldn't help but want to look up to the sky and scream.

The other junior doctors lowered their heads one after another, not daring to breathe.

Chen Qi didn't care what others were saying or thinking. All he thought about was how to find the real cause of the disease.

If you have to determine whether it is bleeding from the lower intestine, there are two other ways to go to the hospital in his previous life.

One is to do capsule gastroscopy. You swallow a capsule with a camera. The capsule enters the mouth, passes through the intestines, and is excreted through the anus. If there is bleeding during the process, the capsule endoscope can see it.

But this was the 1980s, and even if he had this capsule in his space operating room, he would not dare to take it out.

Besides, capsule gastroscopy can only see if it can be treated. Even if the bleeding point is found, there is no way to treat it.
To be continued...